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PUBLIC RECORD OFFICE

Reference :-

C.O. 885

ALLY WITHOUT PERMISSION OF THE COPYRIGHT PHOTOGRAPHÉNOT TO BE REPRODUCED PHOTOGRAPHIC-

24 PUBLIC RECORD OFFICE, LONDON

(No. 116.)

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BIR,

I HAVE the honour to acknowledge the receipt of the Secretary of State's Circular despatch No. 61, of the 18th September, 1915, in respect to reports by Dr. Stanley Branch on the ankylostomiasis campaign in St. Lucia for the first two

Government House, Saint Lucia, 27th October, 1915.

quarters of 1915.

2 With regard to paragraph 3 of that despatch I enclose copies of sanitary regulationst under the Public Health Ordinance which have recently been passed. These regulations are at present being brought into force in the Castries area, where Dr. Branch is now conducting the campaign. I am glad to say that comparatively little difficulty is being experienced in inducing the people to carry them out.

3. It will be observed that the regulations in question contain provisions with regard to sanitary accommodation in schools. The Inspector of Schools is at present on his annual examination tour, and I have instructed him to pay particular atten- tion to this matter, and at the end of his tour to report to me in this connexion separately on each school.

4. There are no regulations regulating bakeries or soda-water factories in the Colony. So soon as a mass of legislation with which the Attorney-General is now grappling is cleared out of the way, I propose to deal with this question, which I agree is an urgent one.

5. A modern Public Health Act and a Government Sanitary Department are both badly needed in this Colony, and are engaging my attention.

His Excellency

Sir G. B. Haddon-Smith, K.C.M.G.,

&c., &c., &c., Grenada.

54935

SIR,

(No. 174.)

No. 28

I have, &c.,

GIDEON MURRAY,

Administrator.

WINDWARD ISLANDS: GRENADA,

THE GOVERNOR to THE SECRETARY OF STATE

(Received 29th November, 1915.)

[Answered by No. 31.]

Government House, Grenada, Windward Islands,

4th November, 1915. WITH reference to Mr. Harcourt's despatch Miscellaneous, of 28th July, 1914, I have the honour to report that, subject to your approval, I have reappointed Dr. Morrison as Assistant Medical Officer under the International Health Commission for a further period of one year.

2. Dr. Morrison is well reported upon by Dr. Macdonald, and, from what I have seen of him, he has favourably impressed me.

3. Dr. Morrison is an applicant for a Government appointment, and was anxious to know whether his present temporary appointment would debar him from being considered. I have assured him that his name will be considered with those of other candidates whenever a vacancy occurs, but I impressed upon him that I could make no promise that you will be able to meet his wish.

I have, &c.,

G. B. HADDON-SMITH,

Governor.

* No. 14.

+ Not reprinted.

‡ No. 13 in Miscellaneous No. 810.

55642

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No. 29. TRINIDAD

THE UNITED STATES AMBASSADOR to THE SECRETARY OF STATE. (Received 2nd December, 1915.)

[Answered by No. 30.]

THE American Ambassador presents his compliments to Mr. Bonar Law, and has much pleasure in sending him herewith a letter which he has received from Mr. Wickliffe Rose, of the Rockefeller Foundation International Health Commis- sion, dated 17th November, 1915, enclosing a copy of a letter written by Dr. John P. Tulloch, Government District Medical Officer at Chaguanas, Trinidad, relative to the work being done in his district to exterminate hookworm disease. London, 1st December, 1915.

Enclosure in No. 29.

The Rockefeller Foundation International Health Commission, DEAR SIR,

61, Broadway, New York, 17th November, 1915. I AM enclosing a letter which the Surgeon-General of Trinidad has forwarded, through Dr. H. H. Howard, to this office. In commenting upon this letter the Surgeon-General says:-

"It furnishes a good illustration of the value of your Commission's. labours in Trinidad, besides its own individual operations."

2. Dr. Tulloch, who writes this letter, is one of the Government District Medical Officers in Trinidad. All British Colonies have in operation a system of District Medical Officers covering practically the whole area of the Colonies. With this in mind one may readily understand how the influence of the work which we are doing may, through these District Medical Officers, be extended to the whole of the Colonial Empire.

3. I am writing to the Surgeon-General to express my gratification with this evidence of the way in which the influence of our work is being extended. I shall also undertake to pass this good example on, through the Colonial Office in London, to the other Colonies.

Very sincerely yours,

SIR,

WICKLIFFE ROSE.

Chaguanas, Trinidad, 17th October, 1915.

I BEG to report as follows on the treatment of uncinariasis in my district during the quarter ending 30th September :- Number of persons treated

Number of immigrants and free people on the

Woodford Lodge Company's estates

Number of private patients

Number of paupers

116

86

18

12

The faces were examined microscopically by myself or by the dispenser at the

estate hospital (Mr. Walters) in practically all of these cases. specimens were examined several times.

The majority of the

During the early part of the quarter treatment was by thymol alone, two 30-grain doses being given in the morning, preceded and followed by magnesium sulphate.

I found that this drug caused the passage of very large numbers of worms (in a private case one treatment reduced the number of ova found under a small cover- For instance, glass from 218 to 5), but that it failed as a rule to complete a cure. during May, June, and July, R. O., a pauper, was treated by thymol eleven times, on two occasions being given two 40-grain doses. His infection at the beginning was noted as very severe.

At the end of this treatment his condition had greatly improved, but fifteen ova were still found under one cover-glass. It is difficult to understand how some of the worms should possess such powers of resistance to a drug so powerful as thymol.

I then gave this patient four treatments with oil of chenopodium. After the last treatment I still found three ova in a full slide. The man was then apparently completely restored to health, and was working steadily and easily in the field. That he should then cease to attend the dispensary is not surprising.

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